incidence of forearm hematoma in the transradial interventions

Radial artery perforation is a rare complication, but can lead to severe forearm hematoma if not managed promptly. In their analysis, Calvino-Santos et al reported the incidence to be approximately 1%, and found it greatest among older and shorter women with tortuous arteries.

However, the incidence is likely lower than 1%. Although perforation can necessitate conversion to transfemoral access, several case series have demonstrated the safety of continuing the procedure either with the use of a long sheath, guiding catheter, or peripheral balloon to seal the perforation. Furthermore, none of these patients experienced long-term vascular complications.

Author: 

Khaldoon Alaswad, MD, RVT, FACC, FSCAI
Director, Cardiac Catheterization Laboratory
Edith and Benson Ford Heart and Vascular Institute
Henry Ford Hospital
Henry Ford Health System
Detroit, MI

Question: 

Can you tell us the incidence of forearm hematoma in the transradial interventions?